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The advantages of unicompartmental knee arthroplasty (UKA) such as less blood loss, shorter hospital stay, shorter time to recovery, superior kinematics, better range of motion, and bone stock preserving capacity are well documented (Saccomanni 2010).
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The therapeutic impact of WBV treatment has been observed on muscle strength, motion, posture and bone density in various osteopenic populations: young women [20,21], post-menopausal women [22 25] or children with disabling conditions like cerebral palsy [26] or with OI [27] but no effect has been observed on healthy adults [28].
Total range of joint motion and quantitative bone density were significantly decreased, whereas total muscle strength was significantly increased.
Hip resurface arthroplasty (HRA) has several advantages compared with traditional total hip arthroplasty (THA), including a reduced rate of dislocation due to the larger diameter of femoral head, reduced wear of metal-on-metal interface, a larger range of motion and its bone-conserving nature [ 1- 3].
Furthermore, continuous migration is associated with inducible displacement, i.e. immediate motion between implant and bone upon loading (Hilding et al. 1995).
The proposed advantages of HRA compared to conventional total hip arthroplasty (THA) include improved range of motion and hip function, bone preservation, lower dislocation rates, and easier and safer revision procedures in case of failure (Shimmin et al. 2008).
With sufficient stability after surgery, minimal relative motion between the prosthesis and bone interfaces allows osseointegation to occur thereby providing a strong prosthesis-to-bone biological attachment.
Relative motion between the implant and bone segments was then calculated between serial radiographs.
This finding suggests that, following implantation, the cement is not bonded to the bone but rather behaves as a compliant interface with motion between the cement and bone components.
This laboratory study aims to determine the optimum implant configuration and method of fixation by measuring relative motion between bone and implant for a range of flexion angles Relative motions were found to increase with flexion in all cases.
Rather, the interface is quite compliant, with sliding and opening motions between the cement and bone surfaces.
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